Invoice: 5102
Voucher Codes:
1KPA
ID:5071 (sin título)
9ZOM
ID:5039 (sin título)
UYZ4
2VLR
IP5C
NBG5
1KPA
ID:5071 (sin título)
9ZOM
ID:5039 (sin título)
UYZ4
2VLR
IP5C
NBG5
Invoice: 5102
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
TO:
Wyoming Department of Health
Communicable Disease Unit
122 West 25th Street, 3rd Floor West
Cheyenne, Wy, 82002
Phone (307) 777-3562 | Fax 307-777-8547
FROM:
Sheridan County Public Health
297 S. Main StSheridan, Wyoming 82801
Total Vouchers: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 8 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $358.00 | ||